Healthcare Provider Details

I. General information

NPI: 1043099245
Provider Name (Legal Business Name): LENDING CARE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 HIGHWAY 51 N
SOUTHAVEN MS
38671-3636
US

IV. Provider business mailing address

8600 HIGHWAY 51 N
SOUTHAVEN MS
38671-3636
US

V. Phone/Fax

Practice location:
  • Phone: 901-699-4747
  • Fax: 662-510-2466
Mailing address:
  • Phone: 901-699-4747
  • Fax: 662-510-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: LATANYA L WROTTEN
Title or Position: OWNER
Credential:
Phone: 901-550-3556